Complex facial reconstruction with invasive and non-invasive conventional interventions

• Main Authors: Peter M. Vogt, Lina Awwad, Ramin Ipaktchi, Nicco Krezdorn
• Format: Article
• Language: English
• Published: Elsevier 2019-03-01
• Series: JPRAS Open
• Online Access: http://www.sciencedirect.com/science/article/pii/S235258781830041X

Summary: Background: Despite the obvious advantages, face transplantation requires strict patient selection to guarantee optimal outcomes. Therefore, it is not suitable for all patients with severe facial disfigurements. Simultaneously, conventional plastic and reconstructive surgery techniques, as well as medical spa techniques, have evolved, offering minimally invasive treatment of complex deformities. Methods: The entire face of a young woman was severely disfigured because of a mistreated juvenile acne, with severe ectropions, oral incompetence and substantial midfacial tissue defect. We are describing the reconstruction with a combination of conventional reconstructive methods, such as scar release, skin transplantation, local flaps, medical needling and lipofilling. Results: Oral competence, unhindered breathing and adequate lid closure was achieved. Previously unable to participate in social life in any meaningful way, our patient was able to reintegrate fully and take a job. Conclusion: For selected patients, combined, invasive and non-invasive conventional techniques can provide satisfying outcomes in complex facial reconstruction. Modern regenerative approaches such as lipofilling and medical needling should be considered as integral parts of treatment strategies. Keywords: Face transplantation, Facial disfigurement, Vascularized composite allotransplantation